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Dementia01:30

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Dementia is a collective term for cognitive disorders primarily affecting memory, thinking, and reasoning. It is not a specific disease but a syndrome, with Alzheimer's disease being the most common cause, accounting for approximately 60-80% of cases. Other types include vascular dementia, Lewy body dementia, and frontotemporal dementia. Dementia affects millions worldwide, particularly older adults, though it is not a normal part of aging.
The progression of dementia is generally gradual....
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Alzheimer's Disease (AD), a neurodegenerative disorder, is pathologically identified by amyloid plaques and neurofibrillary tangles composed of tau protein. AD pharmacotherapy aims to manage cognitive symptoms, delay disease progression, and treat behavioral symptoms. The treatment is primarily symptomatic and palliative, with no definitive disease-modifying therapy available. Cholinesterase inhibitors, including donepezil (Aricept), rivastigmine (Exelon), and galantamine (Razadyne), are...
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Community-based interventions in mental health represent a paradigm shift from institution-centered care to treatments embedded within the fabric of local communities. By prioritizing inclusion and leveraging existing societal structures, this approach fosters a supportive environment conducive to addressing mental health challenges while promoting individual dignity and agency.
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A Computerized Functional Skills Assessment and Training Program Targeting Technology Based Everyday Functional Skills
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Implementation and outcomes of a dementia-friendly training program in five hospitals.

Ellen Roberts1, Ellen C Schneider1, Maureen Dale1

  • 1UNC Center for Aging and Health, Department of Medicine, UNC School of Medicine, Chapel Hill, North Carolina, USA.

Geriatric Nursing (New York, N.Y.)
|October 4, 2024
PubMed
Summary

Dementia-friendly hospital training improved staff recognition of patient needs. While falls and readmissions unchanged, average hospital stays decreased, indicating better care for older adults with dementia.

Keywords:
Dementia-friendly trainingHospitalsOlder adults living with dementia

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Area of Science:

  • Gerontology and Geriatric Medicine
  • Healthcare Quality Improvement
  • Dementia Care Management

Background:

  • Hospitalized patients living with dementia (PLWD) aged 65 and older often experience suboptimal health outcomes.
  • Existing hospital systems may not adequately address the unique needs of PLWD, contributing to poor care experiences and results.

Purpose of the Study:

  • To implement a dementia-friendly training program for hospital staff.
  • To evaluate the impact of this training on patient outcomes, including falls, length of stay, and readmission rates.
  • To foster sustainable system-level changes within hospitals to better support PLWD.

Main Methods:

  • A prospective study was conducted across five hospitals utilizing the CARES® Dementia 5-Step Method for Hospitals Online Training.
  • Staff completed online modules and a didactic session, followed by pre- and post-intervention surveys.
  • Key patient outcomes such as falls, length of stay, and readmission rates were systematically collected and analyzed.

Main Results:

  • A total of 1,836 (41%) hospital staff members successfully completed the dementia-friendly training.
  • Significant positive shifts were observed in staff-reported recognition of dementia symptoms and needs post-training.
  • While falls and readmission rates remained stable, a statistically significant decrease of 0.24 in the average number of hospital stays per patient was noted (p=0.01).

Conclusions:

  • Dementia-friendly hospital training effectively enhances staff's ability to recognize and appropriately respond to the needs of hospitalized patients living with dementia.
  • The training contributes to improved patient care and potentially more efficient resource utilization, as evidenced by reduced length of stay.